Proform Physical Therapy LLC

NPI #1861047854 in Edison, New Jersey

Provider Information

NPI Number: 1861047854
Entity Type: Organization
Organization Name: Proform Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 6, 2019
Last Updated: Aug 6, 2019

Practice Location

Address: 1921 ROUTE 27
City: Edison
State: New Jersey
ZIP Code: 08817-3250
Phone: (732) 970-7882

Authorized Official

Name: LEONARD JESUS SOMARRIBA, PT
Title: OWNER
Phone: (561) 676-3565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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